EVALUATION OF THE RADIOLOGIC FINDINGS ON HYSTEROSALPINGOGRAPHY BY SELECTIVE HYDROTUBATION WITH FLEXIBLE HYSTEROFIBERSCOPE

Purpose: The objective of this study was to assess further the signifi cance and accuracy of hysterosalpingography (HSG) by comparing the rad iologic findings on HSG to selective hydrotubation (SHT) using a hyste rofiberscope in 106 women with tubal occlusion. Results: Patency was s uccessfully observed by SHT in 72 of 134 and 62 of 106 patients. Proxi mal obstruction was divided into three groups according to the shape o f cornual obstruction (sharp, dull, defect) on HSG. The success rate f or SHT in unilateral obstruction (64%) were significantly higher than those in bilateral obstruction (39%). In the three groups of proximal obstruction, the success rates for SHT were 24, 75, and 30% in sharp, dull, and defect. Thirteen of 62 patients who successfully recanalized became pregnant at 9-month follow-up interval. Conclusion: Careful ev aluation of the cornual obstruction in radiologic findings on HSG may be important for the decision on further treatment. Furthermore, SHT u sing a hysterofiberscope is an effective method for evaluating tubal o bstruction and for managing it in a selected group of patients with tu bal obstruction.